Spruce Health

San Francisco, CA, United States  All United States companies → Founded 2013
Patient Engagement Platform Telehealth Network
Series A — $17M

Products

Spruce Health
Spruce Health
Medical Phone & Communication
Spruce Health offers a HIPAA-compliant, all-in-one communication platform for healthcare clinics, including secure messaging, telemedicine, and VoIP.

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About Spruce Health

Spruce Health is a leading healthcare AI company that provides a comprehensive, HIPAA-compliant platform designed to streamline communication and care delivery for medical practices. Their all-in-one solution integrates various communication channels, including phone, text, fax, video, and secure messaging, into a unified inbox. This allows healthcare professionals to manage patient interactions, collaborate with their teams, and conduct telehealth visits efficiently. The platform aims to enhance patient engagement, improve workflow automation, and ensure accountability in clinical operations.

For physicians, Spruce Health offers tools to optimize care collaboration, reduce administrative burden, and deliver modern, accessible care. Key features include a robust business phone system with VoIP, e-faxing, secure video calling for virtual visits, and automated workflows for patient responses and after-hours management. The platform also provides internal team messaging, shared inboxes, and task assignment capabilities to facilitate seamless coordination among staff. Spruce Health emphasizes reliability, security, and compliance, treating communication as a medical record with strong data encryption, SOC 2 certification, and a Business Associate Agreement (BAA) included in every plan.

Focus Areas

telemedicine HIPAA-compliant messaging patient engagement healthcare communication workflow automation digital health mobile health

Business Intelligence

Key InvestorsKleiner Perkins, Google Ventures, Cowboy Ventures, Baseline Ventures, Oxeon Partners, Quiet Capital
Partnershipsathenahealth, Keragon, Akute Health, ChronicCareIQ, Dock Health, Elation Health, Guava, Headway, Health Compiler, Heard, Hint Health, Mindful Therapy Group, ModMed, Morf Health, NorthShore, Snapscale
Technologycloud-based, mobile-first, HIPAA-compliant communication platform with AI capabilities for administrative and operational support, EHR integrations

What Physicians Need to Know

Specialization
Spruce Health specializes in HIPAA-compliant communication and digital care platforms for healthcare providers. They offer a unified platform for secure messaging, calling, faxing, video visits, workflow management, and care coordination outside the exam room. Their AI solutions focus on administrative throughput, operational support, and oversight-ready analytics, aiming to reduce administrative burden and strengthen oversight without replacing clinical judgment.
Key Differentiators
Spruce Health's key differentiators include its unified communication platform that consolidates phone, video, e-fax, secure messaging, and team messaging in one place. They emphasize HIPAA compliance, secure data management, and privacy-aware architecture. The platform is designed to be user-friendly and efficient, streamlining workflows and improving patient engagement. They also offer features like voicemail transcription, adaptive clinical questionnaires (Spruce visits), and automated replies.
Technology Stack
While specific details of their entire technology stack are not extensively publicized, Spruce Health utilizes various languages, frameworks, libraries, and application hosting services. They focus on robust application utilities, data stores, analytics, and monitoring tools to ensure performance and reliability. Their platform supports custom integrations through a Public API with REST Endpoints and Webhooks.
AI Specialization
Spruce Health applies AI to use cases that measurably reduce administrative burden or strengthen oversight. This includes administrative documentation support (drafting letters, summaries), claims and document processing (intake, classification, routing), fraud, waste, and anomaly detection, intake, triage, and routing, operational analytics (staffing, scheduling, demand forecasting), and grounded knowledge retrieval. They prioritize privacy-aware architecture and ensure that AI surfaces evidence and drafts documentation, while licensed clinicians retain ownership of diagnosis, treatment, and patient care.
Physician Tip

For physicians, Spruce Health can be a game-changer for unified patient communication and follow-up, saving time and improving efficiency. The platform allows for secure texting, phone calls, voicemail, and team messaging all in one place, helping offices respond quickly and stay organized. Physicians can manage patient communication regardless of how patients choose to communicate (text or call), with all interactions documented in one secure, user-friendly tool. It also enables efficient handling of high call volumes and offers tools for teletherapy and remote care. The ability to task nurses, MAs, or other providers, schedule tasks, and use internal messages helps reduce duplication of effort and streamline workflows.

Spruce Health offers various integrations with Electronic Health Records (EHRs) such as DrChrono, Athena, and Elation, as well as other healthcare platforms like Guava Health, HealthCompiler, and Hint Health. They also integrate with billing and payment systems like Stripe. Their Public API allows for custom integrations with any EHR or other platforms, requiring development resources from a third party or the EHR company. Additionally, Spruce Health partners with various organizations in their ecosystem, including MSOs, IT & MSPs, Virtual Assistant Agencies, Healthcare Marketplaces, and Practice Operations & Automation Platforms, to deliver integrated solutions.

Products by Spruce Health

1 product in the directory

Spruce Health
Spruce Health
Medical Phone & Communication
Spruce Health offers a HIPAA-compliant, all-in-one communication platform for healthcare clinics, including secure messaging, telemedicine, and VoIP.

What the Web Says

Spruce Health is a healthcare communication platform praised for its ease of use, HIPAA compliance, and ability to consolidate various communication channels like phone, text, and fax into one platform. It's particularly popular with solo practitioners and small businesses due to its cost-effectiveness and features like secure messaging and telehealth visits. However, some users have raised concerns about limited features in lower-priced plans, occasional messaging issues, and a perceived lack of robust customer support, with some reporting difficulties reaching a human for assistance.

Overall: Mixed

Strengths

  • Ease of use for both providers and patients.
  • HIPAA compliant communication, including secure texting, faxing, and telehealth.
  • Consolidates multiple communication channels (phone, text, fax, video, team messaging) into one platform.
  • Good value, especially for solo practitioners and small practices, with affordable basic plans.
  • Efficient workflow management and automation features like auto-replies and scheduled tasks.
  • Helpful and quick customer support in many instances.

Limitations

  • Limited features in lower subscription tiers, requiring upgrades for advanced functionalities like phone trees.
  • Some users report issues with customer support, including difficulty reaching a human and slow response times.
  • Occasional messaging issues, such as notifications not coming through or messages appearing in wrong threads.
  • Lack of robust integrations with some EHR systems.
  • No visual caller ID, which can make identifying incoming calls difficult.
  • Voicemail spam has been reported by some users.

Based on reviews from: G2, Capterra, Reddit, Software Advice, Apple App Store, Indeed.com

Last updated: 2026-06-20

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Frequently Asked Questions

Spruce Health offers AI capabilities focused on administrative automation, claims and fraud analytics, intake and triage, and grounded knowledge retrieval. These AI solutions aim to reduce administrative burden, strengthen oversight, and improve throughput on routine tasks, while ensuring licensed staff remain responsible for clinical decisions.
Spruce Health is a HIPAA-compliant communication platform that includes a Business Associate Agreement (BAA) in its standard terms of service. They prioritize data security with robust encryption and secure storage methods, access controls, audit logging, and privacy-aware architecture.
Spruce Health offers two main plans: Basic at $24 per user per month and Communicator at $49 per user per month. While these are per-user, per-month costs, additional charges may include federal, state, and local taxes and surcharges, a one-time $19.50 fee for outbound SMS text messaging activation, and potential onboarding fees or annual contracts for larger practices.
Spruce Health offers dedicated support, primarily through in-app messaging and email, aiming to respond to inquiries within one business day. They emphasize that messaging allows them to view account setups and devices for faster problem resolution.
Spruce Health partners with innovators for integrations, co-marketing, and referral programs, including Electronic Health Records (EHRs), Managed Service Organizations (MSOs), and IT/Managed Service Providers (MSPs). They integrate with platforms like Keragon and Morf Health for HIPAA-compliant workflow automation and data syncing across systems.
Spruce Health was founded in 2013 and has raised $17M in funding. They are recognized as a leader in HIPAA-compliant communication and a top telemedicine provider, trusted by tens of thousands of healthcare professionals. While one review mentioned a separate entity, 'Spruce Health Group,' was no longer in business, Spruce Health (the communication platform) continues to operate and innovate.
Spruce Health's AI is designed for augmentation, focusing on reducing administrative load, strengthening oversight, and improving throughput on routine work. Their philosophy is that AI earns trust by handling throughput well and staying out of clinical decisions, ensuring licensed clinicians retain ownership of diagnosis, treatment, and any actions affecting patient care.

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